Quality indicators for Palliative Day Services: A modified Delphi study

Noleen McCorry, Sean O'Connor, Kathleen Leemans, Joanna Coast, Michael Donnelly, Anne Finucane, Louise Jones, W.George Kernohan, Paul Perkins, Martin Dempster

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Abstract

Background: The goal of Palliative Day Services is to provide holistic care that contributes to the quality of life of people with life-threatening illness and their families. Quality indicators provide a means by which to describe, monitor and evaluate the quality of Palliative Day Services provision and act as a starting point for quality improvement. However, currently, there are no published quality indicators for Palliative Day Services. Aim: To develop and provide the first set of quality indicators that describe and evaluate the quality of Palliative Day Services. Design and setting: A modified Delphi technique was used to combine best available research evidence derived from a systematic scoping review with multidisciplinary expert appraisal of the appropriateness and feasibility of candidate indicators. The resulting indicators were compiled into ‘toolkit’ and tested in five UK Palliative Day Service settings. Results: A panel of experts independently reviewed evidence summaries for 182 candidate indicators and provided ratings on appropriateness, followed by a panel discussion and further independent ratings of appropriateness, feasibility and necessity. This exercise resulted in the identification of 30 indicators which were used in practice testing. The final indicator set comprised 7 structural indicators, 21 process indicators and 2 outcome indicators. Conclusion: The indicators fulfil a previously unmet need among Palliative Day Service providers by delivering an appropriate and feasible means to assess, review, and communicate the quality of care, and to identify areas for quality improvement.

Original languageEnglish
Pages (from-to)197-205
Number of pages9
JournalPalliative Medicine
Volume33
Issue number2
Early online date19 Nov 2018
DOIs
Publication statusPublished - 1 Feb 2019

Keywords

  • Quality Indicators
  • Delphi technique
  • Day services
  • Quality Improvement
  • Palliative care
  • Healthcare
  • Medical
  • medical
  • quality improvement
  • day services
  • quality indicators
  • healthcare

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  • Research Output

    • 1 Citations
    • 1 Article

    Exploring the costs, consequences and efficiency of three types of palliative care day services in the UK: a pragmatic before-and-after descriptive cohort study

    Mitchell, P., Coast, J., Myring, G., Ricciardi, F., Vickerstaff, V., Jones, L., Zafar, S., Cudmore, S., Jordan, J. E., Mc Kibben, L., Graham-Wisener, L., Finucane, A., Hewison, A., Haraldsdottir, E., Brazil, K. & Kernohan, W. G., 7 Aug 2020, In : BMC Palliative Care. 19, 1, p. 1-9 9 p., 119.

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    Cite this

    McCorry, N., O'Connor, S., Leemans, K., Coast, J., Donnelly, M., Finucane, A., Jones, L., Kernohan, W. G., Perkins, P., & Dempster, M. (2019). Quality indicators for Palliative Day Services: A modified Delphi study. Palliative Medicine, 33(2), 197-205. https://doi.org/10.1177/0269216318810601